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B-2016-1806 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1806 20870 PEPPER TREE LN CUPERTINO,CA 95014-2968(3 59 13 052) MALCOLM CLAY CONSTRUCTION MT HAMILTON,CA 95140 OWNER'S NAME: KALISVAART MAARTEN AND CATHERINE S TRUSTEE DATE ISSUED:04/20/2016 OWNER'S PHONE:213-309-0449' PHONE NO:(408)568-5267 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic.#996 3 Contractor MALCOLM CLAY CONSTRUCTION Date 09/30/2016 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9(commencing _MECH X RESIDENTIAL COMMERCIAL — with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REMODEL 3 BATHROOMS(REFACING ONLY)-106 S.F. I hereby affirm under penalty of perjury one of the following two declarations: t. I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. �f I have and will maintain Worker's Compensation Insurance,as provided for by `v Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area: 106 Valuation:$30000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances Number: Occupancy Type: 359 13 052 and state laws relating to building construction,and hereby authorize 359 representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAS CALLED SPECTION. �ySsa z Date 4/20/2016 Issued by:Alex Vallelunea Date:04/20/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is 1. 1,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:4/20/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. I have and will maintain a Certificate of Consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the s. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,Sections 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. .p a r�u, oti i' APPLICANT CERTIFICATION a e�:4 2 2 16 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 4/20/2016 professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPER,, INO (408)777-3228 • FAX(408)777-3333 • buildinq(@,cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION 0 ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS '20970 20970 Pr_PPER 7R R E LA442- APN OWNERNAMF V 1,is A p AT MAA -rG �I PHONE�I� ^�V�`� E-MAIL 5 V`AS! IA4 �l �/�-6AAft- STREET ADDRESS 2 v, �70 P r:PPr(, rF 7 L AlvF CITY, STATE,Z C(/(0T 2 ne'7 C 1 s o l FAX CONTACT NAME PHONE n E-MAIL /4A LCot_� L�% -S6ss-S26 7 t11k7 L 9,4L1,0-'&S)01_-_6T,6a,j, STREET ADDRESSCITY,STATE, ZIP FAX 1 sS /1'l f.!'x'71/G�;�� f20 Sr��- ✓iM ci qsrfo ❑OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT L^I CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME,,^LC�L n^ CL ^ LICENSE NUMBER 99`_ Lf Lf LICENSE TYPE BUS.LIC# COMPANY NAME ��lrl 'vl /T E-MAIL, V T FAX M.C. CO�sT(;U C'T 0� �Nt l�iq US )1_c i,cow STREET ADDRESS S 9' j CITY,STATE,ZIP PHONE S /Ul7_ {�/Ll r`Toy �� SA11��US� C�}- yS�tfO ,�..S6'�r 5267 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK 3 �11I�0� E/10DEt 1Lr /xToPrS . 4-0 WORK I Uu S.F. EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES 3 0,+T y 3 ��{-T// �1 1 USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ATTACH #DWELLING UNITS: IS A SECOND UNIT []YES SECOND STORY ❑YES BEING ADDED? [NNO ADDITION? ®NO PRE-APPLICATION []YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES FIv $ TOTAL VALUATION: PLANNING APDL# Q,NO PLANNING APPROVAL LETTER EICHLER HOME? NO A By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. orize representatives Of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: 'WIZ-116 SUPPLEMENTAL INFORMATION REQUIRED J'I�AN C}iKGK fiYPE, ",; ; ; Ii0UT1'P1'tr SI.,JI'AF,z _New SFD or Multifamily dwellings: Apply for demolition permit for D aI -c€JisrirrR C[ BULnrG R existing building(s). Demolition permit is required prior to issuance of building PLAN' vrEw, permit for new building, © J�ettEss [ PLAI�NJNG PJ aIr !WIEw _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure L`7"STANDARD- form sxAlwunxD form if any Hazardous Materials are being used as part of this project. _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. J10RRSANI fl+ltT'SE�TR J)JSTRIGT € :�=nFld'yIRCJt'MEN'I',r,J.�IiEri,1'H B1dgApp_2011.doc revised 06/21/11 Assessor's Parcel Number; Plumbing Notes: 1. water closets shall have an average water consumption of not more than 1.28 gallons per effective flush.(CPC 403.2) Name of owner: 2. Shower heads shall have a water flow not exceed 2.0 gallons per minutes@ 80 psi.(CPC 408.2) i 3. Faucets•in lavatories shall have a water flow not exceed 1.5 gallons per minutes @ 60 psi and shall not be less than:8 gallons per minutes at 20 psi.(CPC 403,6) 4. Shower stalls shall have a clear interior finish area of 7.1 sci t.and be able to accommodate a minimum 30 inch circle at the threshold level.These clearances shall be Co ntact Person;-1144 C Co c-," C Al-7 Phone:-.qO6- 569� -�'2_Cl maintained up to a height of 70 inches able the shower drain.(CPC 408.6) 5. Shower compartments and walls above bathtubs with Installed shower heads shall be finished with a smooth,nonabsorbent surface to a height not less than 72 inches p (6ft).(CRC 8307.2) Project Address: 2 ��z P/ �� 9/1 G�4i"r C'G P,6-X7/ti0 t-/a 6. The maximum hot water temperature discharging from the bathtub,shower and whirlpool bathtub filler shall be limited to 120 degrees Fahrenheit.The water heater thermostat shall not be considered a control for meeting this provision.(CPC 409.4&408.3) Scope of Work: 611h C)1)1 L 7. wafer closet shall be set minimum 15 Inches from its center to a side wall or obstruction and 24 inch clearance In front of water closet.(CPC 402.5) Electrical Notes: 1. The installation of smoke alarms in all of the following areas shall be provided: (R314.3) Code Editions: 2013 California Residential Code a. On the ceiling or wall outside of each separate sleeping area in the immediate vicinity of bedrooms. 2013 California Plumbing Code b. In each room used for sleeping purposes. c. In each story within a dwelling unit,including basements but not including crawl spaces and uninhabitable attics. 2013 California Mechanical Code 2. Approved carbon monoxide alarms shall be installed outside of each separate sleeping area In the Immediate vicinity of the bedrooms and on every level including 2013 California Electrical Code basements in dwelling units that have fuel-fired appliances or attached garages.(CRC R315.1) 3. At least one 20 amp branch circuit shall be provided to supply bathroom receptacle outlets.Such circuits shall have no other outlets.(CEO 210.11(C)(3)) 2013 California Energy Code 4. All receptacles In bathrooms,garages,accessory buildings,outdoors,crawl spaces,unfinished basements,kitchens(where receptacles serve counter top-surfaces), laundry,utility,wet bar sinks(within 6 feet of the edge of the sink),shall have ground-fault circuit interrupter(GFCi)protection. (CEO 210.8) Mechanical Notes: 5. In ail areas specified in 210.52,all 125-volt, 15-and 20-ampere receptacles shall be listed tamper-resistant receptacles. (CEC 406.11) 1, Bathroom vents shall terminate not less than 3 feet from openings anfipQW.Y s.I Ct�7C`50�1.7 ELOPMENT DEPARTMENT Energy Code Mandatory Measures: ®� BUIL6ING DIVISION - CUPERTINO 1, All permanently installed high efficacy luminaires shall be switched separately from low efficaAlEm4na y(r;Q 2. Permanently installed luminaires in bathrooms shall be high efficacy IrTrh1j5"M targ%ilywith Section 119 that does not turn on automatically or have an always on option.(150(k)(1 ►s�site during construction. It is unl wful to make any changes or alterations on sa e, or to deviate therefrom, without approval from the Building Official. The Stamping of this plan and specifi ations SHALL NOT be held to permit or to b an appr val of the violation of any provisions o y Ordin nce or State Law. BY -Lo/ 2'%t J '` PE. MIT# f '�(jl(p� � U � / PA 5 r U E •• 0 CJ d o a � � SL(Gctii�f2- . "CE CTE U (;OP'y FF' EXISTING BATHROOM FLOOR PLAN PROPOSED BATHROOM FLOOR PLAN SMOKE I CARBON MONOXIDE ALARMS , OWNER CERTIFICATE OF COMPLIANCE! COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPE'RTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228• FAX(408)777-3333• bLAding(&cupertino oM I h PURPOSE Compliance with ' Monoxide Alarms for This affidavit is a self-certification for the installation of all required Smoke and p i 2013 CRC Section R314,2013 CBC Sections 420.6 and 907.2.11.2 where no interior access.for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations,or repairs to existing dwelling units exceeds $1000.00,, CI Sectioninstalled and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Called in the following locations: AREA SMOKE ALTRI 11 Outside of each separate sleeping.area in the immediate vicinity of the X CO 'LARM bedroom(s) On every level of a dwelling-unit including basements Within each slee2ing room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burning appliancer and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall compl with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply:Ii1 dwellirsg units with no commercial power supply, alarm(s) may be;solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterati its.do not result in the removal of wall ail d ceiling,finishes or there is no access b �attic,' ' y means o£ basement r crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420:6.2.An electrical permit is,req fired for alarms,wl-deh must be corulected to,the building wiririg. As owner of the above referenced property,.I hereby certify that the alarm(s)referenced above has/ha ve been. installed in accordance with the manufacturer's instructions aitd in compliance with the Cali.forn a B ild ng, and California Residential Codes. The alarms have been tested and are operational, a of the date sigi ed below. i _ r G have;read and!a wee,to f;with the terms and conditions of this statement` f deer. sl WORMr Sr hatCtroa..... Dat�`�y... .� Fs ... Sa tafur ...Le, Date I I L WATER-CONSERVING PLUMBING FIXTURES 6 alltb . ELI] OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333-buildingP-cupertinooro Owner Name v� YermitNoi � '°� Address !� 20 ITI' _L 1. Is your real property a registered historical site? D Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 'Skip the rest of the formand sign bottom of form. ® No Go to Question 2. 2. Does your real property have a licensedlumber certifying Eying that,due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures isnot technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division, Skip the rest of the form and sign bottom of form. 1 r La No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of orm. Li R No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January Vii, 1994? 1 0 No My real property is built and available for use or occupancy after January 1, 1994. I; Skip rm. Civil Code.Sections 1.101.1 through 1101.8 do notapply. Ski the rest of the form 'and sign bottom of Yes My real property is built and available for use or occupancy on or before January 1,;11994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the following: j 9 My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014,building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or before January 1,2017,' 11 non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of hether property undergoes alterations or improvements). 0 My property is a multifamily residential real property. See Civil Code Section 1101.5_ On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1,2019,all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whetherproperty undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. { On and after January 1,2014,specified building alterations or improvements shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conser ing plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvemen s). I,as the owner or owner's agent of this property,c i'fy under penalty of perjurythat non-comp liant plumbing fixtures will be replaced prior to date specified above with water-c serving plumbing fixtures in accordance with Civil Code Sect ons 1101.1 through 1101.8,the current California Plumbing C and California Green Building Standards!Code,and manufa turer's installation requirements,and that the water-copse g plumbing fixtures comply with the requirements as indicatedin the table on the followingpage. Owner or Owner Agent's Signature; ' Date; Upon completing and signing this Certificate,please return it to the Building Division in order ta;final your building 14mit. SBO 72015.doe re ;sed 08/26/15 i a